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Empowering Consumers with Data to Improve
Chronic Disease Conditions
Session 49, February 12, 2019
Mark Talluto
Vice President, Strategy and Analytics
Blue Cross Blue Shield Association
Joshua Riff
CEO, Onduo
Blue Cross and Blue Shield Association is an association of independent Blue Cross and Blue Shield companies. All
trademarks and brands are used for informational purposes only and are in no way endorsed by Blue Cross Blue Shield
Association.
Onduo is dedicated to bringing the most up-to-date care to people living with diabetes –
anytime, anywhere.
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• Mark Talluto, Vice President, Strategy and Analytics,
Blue Cross Blue Shield Association
• Joshua Riff, CEO, Onduo
Has no real or apparent conflicts of interest to report.
Conflict of Interest
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• Diabetes: A National Epidemic
• Empowering Consumers with Data
• Strategic Partnerships and Solutions
• Progress and Results
• Questions
Agenda
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• Discuss how technology bridges the gap between medicine
and data to improve the health of Americans
• Demonstrate how healthcare outcomes can be advanced by
forming strategic partnerships
• Illustrate how personalized engagement empowers consumers
to make evidence-based healthcare decisions and participate in
self-directed care
Learning Objectives
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Diabetes: A National Epidemic
Diabetes is one of the top five conditions impacting the U.S. commercially
insured population, according to the BCBS Health Index
7.1%
Prevalence rate
of Type II diabetes
in 2016
17%
INCREASE
in prevalence
from 2014-2016
$14,640
Average diabetic
patient cost in 2016
The Blue Cross Blue Shield National Health Index 2016, using blinded claims data from more than 41 million
BCBS commercially insured members per year
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Empowering Consumers with Access
to Health Information
Consumer
Hospital
Patient discharge summaries and plan
transmitted to other care settings
electronically
Health Authorities
CDC, Local, State Authorities
Public Health
PCP alerted to care gaps
at point of care
Remote Care
Chronic patients are monitored
continuously by virtual care team
Clinician
Total view of patient available
Retail Health
Alternative care delivery
settings
Payer
Traditional services plus physician
referring patient into payer care /
disease management programs
Better Management of Patient Populations Starts with Data
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Scaling Nationally
…Through BCBS’ innovation
accelerator to provide…
• Accelerated access to new clinical
technology innovations
• Improved patient outcomes
and experiences
1 IN 3 AMERICANS
HAVE BLUE CROSS
BLUE SHIELD
MEMBERS
105+ MILLION
Improved care in every community.
It begins locally, and scales nationally.
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The Health of America Diabetes
Collaborative
Engaged 5 BCBS Plans and the Federal Employee Program
®
as Initial
Participants
Path to Best-In-Class Solutions
Locally Tailored
Case Management
Solutions
National, Digital
Care Management
Solutions
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Assessing, Measuring and Accelerating Innovations
Strategic Partnerships and Solutions
Identify
Eligible
Members
Enroll in
Disease
Management
Program
Engage
Members in
Program
Member
Activation
Leads to
Greater Use
of Services
Improvement
in Clinical
Outcomes
Improvement
in Utilization
and Costs
Improve Consumer Experience
®
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8.34%
of chronic adult
population has diabetes
Locally Tailored Solutions:
Blue Cross and Blue Shield of Alabama
13%
Adult Members with
Chronic Conditions
33%
BCBSAL
Medical Costs
Program expansion includes suite of offerings powered by technology and innovations,
and improved customer service, clinical care team training and engagement strategies
Outcomes:
Member engagement increased
3x in 2017 and 21% in 2018
Care gaps addressed increased
over 2x in 2017 and 26% in 2018
Eye Exam
39.7%
Microalbumin
87.2%
HBA1C Test
89.3%
Med Adherence
73.1%
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National Solution: BCBS Onduo
Verily & Sanofi
S O L U T I O N S
BlueCross
®
BlueShield
®
Onduo
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Mission
To deliver the best up-to-date diabetes care
anywhere, anytime.
Drive empowerment and motivation
Act beyond lifestyle
Rethink value based reimbursement
Apply hardware & data in a new way
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Moving to Connected Devices
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More Data for Insights
Blood Glucose (mg/dL)
0
100
200
300
400
0 3 6 9 12 15 18 21 0
Hours of Day
Continuous Glucose Monitor
(CGM)
0 3 6 9 12 15 18 21 0
Hours of Day
Blood Glucose Monitor
(BGM)
Provides continuous data points daily compared to BGM finger-stick
approach
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Trust.
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Creating a ‘Prius’ Effect
At HiMSS feeling great!
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Targeted, Tailored Interventions
From lifestyle... ...to clinical
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Personal Coach & Clinical Team of CDEs
and Physicians
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Tailored Solution
Matching individuals
with tailored
interventions from
lifestyle to clinical for
the best, sustained
outcomes, at the
population level
Physician led
interventions
Guided
expert care
Supported
self-care
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Improving Care Access
Endocrinologists
People with Type 2 Diabetes
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Clinical Improvement
Early Outcomes
60% of members
engaged in last 7
days & over 50%
continue to engage
at 35wks
77!
Engagement
NPS
mean.308
mean -0.14 mean -0.26
mean -2.53
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Value
U.C.E
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Onward Together
